Provider Demographics
NPI:1558404251
Name:BELTSOS, ANGELINE N (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELINE
Middle Name:N
Last Name:BELTSOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1455 N MILWAUKEE AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-2015
Mailing Address - Country:US
Mailing Address - Phone:773-435-9036
Mailing Address - Fax:773-572-9999
Practice Address - Street 1:1455 N MILWAUKEE AVE FL 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-2015
Practice Address - Country:US
Practice Address - Phone:773-435-9036
Practice Address - Fax:773-572-9999
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-088775207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology